An infant receives a preoperative evaluation, which is mandatory prior to the administration of anesthesia. In general practice, most nurse anesthetists administer anesthesia to all age groups; however, 1.6% of nurse anesthetists report that they specialize in pediatric anesthesia (source: 2003 AANA Practice Survey)
The use of the laryngeal mask airway with mechanical positive pressure ventilationThe benefits, safety, and efficacy of the laryngeal mask airway (LMA) are discussed in this review article. In addition, the authors identify the risks and misconceptions associated with LMAs when used with positive pressure ventilation and they point out that the LMA is a safe, effective means of delivering ventilation under anesthesia.
Keywords: Laryngeal mask airway, positive pressure ventilation, safe use of laryngeal mask airways.
AANA Journal Course, Part 4 Update for nurse anesthetists -- Preoperative cardiac evaluationAs the percentage of Americans older than 65 years continues to grow, so does the prevalence of cardiac disease in this population. This AANA Journal course discusses the American College of Cardiology (ACC) and American Heart Association (AHA) guideline on perioperative cardiovascular evaluation for noncardiac surgery. The intent of the ACC/AHA guideline is to assist clinicians in clinical decision making by describing a range of generally acceptable approaches for the diagnosis, management, and prevention of cardiac diseases.
Keywords: Cardiac, noncardiac surgery, risk.
Version: 2004;72:365-371.Authors: Bob Halliburton, CRNA, DNSc
Donald Bell, CRNA, DNSc
John Preston, CRNA, DNSc